Pneumonia

Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis?

• A weak, non-productive cough

• Large amounts of greenish sputum

• Respiratory rate of 28 breaths per minute

• Resting SpO2 of 87%

A patient who has just been admitted with community-acquired pneumococcal pneumonia has a temperature of 101.6° F with a frequent cough and is complaining of chest pain. Which prescribed medication should the nurse give first?

• Codeine (for pain)

• Guaifenesin (expectorant)

• Dextromethorphan (cough suppressant)

• Zosyn (antibiotic)

A patient with pneumonia has a fever of 101.4° F (38.6° C), a nonproductive cough, and an oxygen saturation of 88%. The patient complains of weakness, fatigue, and needs assistance to get out of bed. Which nursing diagnosis should the nurse assign as the highest priority?

• Impaired mobility related to weakness

• Impaired gas exchange related to respiratory congestion

• Ineffective airway clearance related to thick secretions

• Hyperthermia related to infection

A patient was admitted to the hospital 3 days ago. The patient developed a productive cough and a fever of 104.3 F while in the hospital. The patient is breathing on their own and doesn't require mechanical ventilation. On assessment, you note coarse crackles in the right lower lobe. A chest x-ray shows the patient has pneumonia. This is considered:

• Community acquired

• Healthcare associated

• Hospital acquired

• Ventilator associated

Which of the following patient is MOST at risk for developing pneumonia?

• A 69 year old patient who recently received the pneumococcal conjugate vaccine

• A 42 year old male with history of HTN and hypothyroidism

• A 53 year old female recovering from abdominal surgery

• A 13 year male old with a broken femur

A patient is admitted with rupture of the Achilles tendon. The patient was recently treated with antibiotics for pneumonia. Which of the following medications below can cause this adverse effect?

• Penicillins

• Macrolides

• Cephalosporins

• Fluoroquinolones

A patient is being discharged home on Doxycyline for treatment of pneumonia. Which statement by the patient indicates they understood your education material?

• "I will avoid leafy greens"

• "I will wear sunscreen when I go outside"

• "I will take this medication with a full glass of milk"

• "I will avoid grapefruit juice"

Causes of pneumonia:

• Virus

• Bacteria

• Fungus

• All of the above